Manager, Emergency Department (ED) and Observation Case Management

A leading acute care hospital in Houston is seeking an experienced Manager of Emergency Department (ED) and Observation Case Management to lead care management services within the ED and Observation units. This leadership role is responsible for directing clinical and operational case management activities, promoting efficient patient flow, supporting appropriate resource utilization, and ensuring high-quality transitions of care.

The selected candidate will oversee a team of case management professionals and collaborate with physicians, nursing staff, social workers, and hospital leadership to enhance patient outcomes, regulatory compliance, and operational effectiveness.

Key Responsibilities

• Direct daily operations of case management services in the Emergency Department and Observation areas
• Manage utilization review activities to ensure appropriate level-of-care determinations and payer compliance
• Lead discharge planning and care transition processes to support timely and safe patient movement across the continuum of care
• Supervise, mentor, and evaluate case management team members
• Monitor departmental performance metrics and implement process improvement initiatives
• Collaborate with interdisciplinary teams to improve patient throughput and reduce avoidable delays in care
• Ensure adherence to federal, state, and organizational regulations, policies, and standards
• Serve as a resource for complex patient care and discharge planning situations
• Support quality, patient satisfaction, and financial performance goals through effective case management practices

Required Qualifications

• Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) credential
• Licensed Clinical Social Worker (LCSW) designation preferred for social work candidates
• Active Case Management Certification required
• Minimum of five years of experience in case management, utilization review, and care coordination/discharge planning within a healthcare setting
• At least three years of leadership, supervisory, or management experience
• Minimum of three years of hospital-based nursing or social work experience
• Strong knowledge of healthcare regulations, utilization management principles, and care transition practices

Preferred Skills

• Experience in emergency services, observation care, or acute care settings
• Proven ability to lead multidisciplinary teams in a fast-paced environment
• Excellent communication, problem-solving, and organizational skills
• Knowledge of patient flow management and resource optimization strategies
• Ability to analyze data, drive performance improvements, and achieve operational goals

Benefits:

Compensation. $108,867 - $130,000 per year

Relocation Assistance: Available